Three-dimensional echocardiography demonstrates a skewered left ventricular thrombus in a patient with a heart transplant.
Michael P GannonShahryar G SabaBenjamin J HirshJonathan L HalperinMario J GarciaSean P PinneyMartin E GoldmanPublished in: Echocardiography (Mount Kisco, N.Y.) (2018)
A left ventricular (LV) false tendon is a frequently visualized structure in echocardiography with unclear clinical significance. We present the case of a false tendon serving as a nidus for thrombus in a post-orthotopic heart transplantation patient. Three-dimensional transthoracic echocardiography (3DTTE) was utilized to visualize a LV mass and facilitate its identification as a thrombus as well as the surrounding structures. Using datasets from 3DTTE, the lack of ventricular wall attachment and circumferential formation of the thrombus around the false tendon was identified. Serial imaging demonstrated resolution of the thrombus with anticoagulation.
Keyphrases
- left ventricular
- heart failure
- hypertrophic cardiomyopathy
- cardiac resynchronization therapy
- acute myocardial infarction
- mitral valve
- left atrial
- aortic stenosis
- high resolution
- case report
- computed tomography
- anterior cruciate ligament reconstruction
- atrial fibrillation
- pulmonary hypertension
- rotator cuff
- rna seq
- acute coronary syndrome
- single cell
- ejection fraction